Dissociative and Anxiety Disorders Flashcards
Depersonalization/Derealization
- duration
none specified
Depersonalization/Derealization
- symptoms
feelings of disengagement from one’s environment, body, or social situation
Reality testing remains intact
No other mental disorder or medical condition
Depersonalization/Derealization
- interventions
meditation or relaxation group Yoga Reducing alarm emotions through relaxation techniques Journaling (help identify triggers) CBT: Disputing irrational beliefs Biofeedback Bibliotherapy
feelings of disengagement from one’s environment, body, or social situation
Reality testing remains intact
No other mental disorder or medical condition
Depersonalization/Derealization Disorder
Depersonalization/Derealization
-differential
Illness Anxiety D/O
MDD
OCD
Anxiety
Psychotic
Substance use
Dissociative Amnesia
- duration
none specified
Dissociative Amnesia
- symptoms
abnormal forgetting about autobiographical information usually of a traumatic or stressful nature that is inconsistent with normal forgetting
Dissociative Amnesia
- specifiers
With dissociative fugue - apparently purposeful travel or bewildered wandering that is associated with amnesia for identity or for other important autobiographical information
Dissociative Amnesia
- differential
DID PTSD Neurocognitive Disorders Substance use related disorders TBI Seizure disorder Factitious
Dissociative Amnesia
- interventions
Hypnosis; dream analysis Visualization meditation Diary-events/emotions Free association
Dissociative Identity Disorder
- symptoms
shifts between 2 or more alternate identities
gaps in recall of everyday events, personal information, traumatic event
Dissociative Identity Disorder
- differential
other dissociative d/o MDD; Bipolar; PTSD Psychotic D/O; Substance Induced Personality D/O Conversion; Seizure d/o factitious/malingering
abnormal forgetting about autobiographical information usually of a traumatic or stressful nature that is inconsistent with normal forgetting
Dissociative Amnesia
Dissociative Identity Disorder
- interventions
Psychoeducation Yoga Supportive Therapy Hypnosis Expressive Arts Learn Coping Skills Ego-State Therapy (second Phase Tx) DBT CBT: cognitive restructuring, relaxation, education EMDR Family therapy Neurofeedback
Separation Anxiety
- duration
greater than 4 weeks in children
greater than 6 months in adults
Separation Anxiety
- symptoms
extreme fear/anxiety about separation from attachment figures
persistent worry about harm to attachment figure; worry figure leaving and not coming back; nightmares about separation
reluctance to go to school/work; refuse to sleep away from home
complaints of physical symptoms
extreme fear/anxiety about separation from attachment figures
persistent worry about harm to attachment figure; worry figure leaving and not coming back; nightmares about separation
reluctance to go to school/work; refuse to sleep away from home
complaints of physical symptoms
Separation Anxiety
Separation Anxiety
- differential
GAD Panic Disorder Agoraphobia Conduct Disorder (school avoidance) Social Anxiety Disorder PTSD Illness Anxiety Disorder depressive bipolar ODD psychotic disorder dependent personality disorder
Specific Phobia
- duration
greater than 6 months
Specific Phobia
- symptoms
continual fear of an object or situation; not linked with real danger
avoidance of the object or situation
continual fear of an object or situation; not linked with real danger
avoidance of the object or situation
Specific Phobia
Specific Phobia
- specifiers
animal
natural environment
blood-injection-injury
situational
other
Specific Phobia
differential
Agoraphobia; Social Anxiety Trauma/Stressor related Separation Anxiety; Panic D/O; OCD; Eating D/O Schizophrenia Spectrum
Social Anxiety Disorder
- duration
greater than 6 months
Social Anxiety Disorder
- symptoms
fear/anxiety about social situation exposed to scrutiny by others
fear of being embarrassed, humiliated, or being judged by others
situations are avoided or endured with intense fear
Social Anxiety disorder
- specifiers
performance only
fear/anxiety about social situation exposed to scrutiny by others
fear of being embarrassed, humiliated, or being judged by others
situations are avoided or endured with intense fear
Social Anxiety Disorder
Social Anxiety Disorder
- differential
GAD Panic D/O Agoraphobia Separation anxiety specific phobia schizoid personality disorder avoidant personality disorder depressive disorder
Social Anxiety disorder
- interventions
Adjunct behavioral training group for social skills
meeting with a psychiatrist
systemic desensitization assertiveness and social skills training rehearsal relaxation training guided imagery exposure therapy
Panic Disorder
- duration
at least one month
Panic disorder
- symptom
abrupt surge of intense fear with symptoms of: pounding heart, chest pain, trembling, nausea, sweating, dizziness, dread, confusion, desire to flee - recurrent - unexpected
1 month of worrying about having another attack
change in behaviors to avoid having another attack
abrupt surge of intense fear with symptoms of: pounding heart, chest pain, trembling, nausea, sweating, dizziness, dread, confusion, desire to flee - recurrent - unexpected
1 month of worrying about having another attack
change in behaviors to avoid having another attack
Panic Disorder
Panic Disorder
-differential
anxiety due to medical
substance use
other anxiety disorder
Agoraphobia
- duration
at least 6 months
Agoraphobia
- symptoms
fear of using public transportation, open spaces, enclosed spaces, standing in line, being in a crowd, being outside of home alone
fear escape may be difficult or help not available in case of panic attack
fear of using public transportation, open spaces, enclosed spaces, standing in line, being in a crowd, being outside of home alone
fear escape may be difficult or help not available in case of panic attack
Agoraphobia
Agoraphobia
- differential
specific phobia separation anxiety social anxiety acute stress disorder PTSD Panic disorder MDD other medical condiation
Agoraphobia
- interventions
Identify, challenges, and replace biased, fearful self-talk with positive, realistic, and empowering self-talk
Learn and implement calming skills to reduce and manage anxiety symptoms that may emerge during phobic situations
Assist the client with committing to not allowing phobic fear to take control of own life
Exposure therapy
CBT
Progressive muscle relaxation
Imaginal desensitization
Generalized Anxiety Disorder
- duration
at least 6 months more days than not
Generalized anxiety disorder
- symptoms
Anxious all the time over diverse issues
muscle tension, irritability, sleep disturbance, restlessness, easily fatigued, difficulty concentrating, on edge
Anxious all the time over diverse issues
muscle tension, irritability, sleep disturbance, restlessness, easily fatigued, difficulty concentrating, on edge
Generalized Anxiety Disorder
Generalized Anxiety Disorder
- differential
anxiety due to medical condition substance induced anxiety panic disorder social phobia OCD somatic disorder separation anxiety PTSD Adjustment disorder
Generalized Anxiety Disorder
- interventions
CBT
Relaxation therapy
Role-playing helps with problem solving in anxiety provoking situation
